Royal College of Surgeons in Ireland
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A case of elevated troponins

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journal contribution
posted on 2023-07-26, 13:35 authored by James Young

A 77-year-old woman was referred to our cardiology service from a local emergency department for further evaluation of palpitations and elevated troponins. The presumed diagnosis was a non-ST elevation myocardial infarction (NSTEMI). Her past medical history included a pre-syncopal event in 1998, which resulted in some outpatient investigations. She conveyed to us that a treadmill exercise test and coronary angiogram had been normal. She had suboptimally controlled hypertension, but no other cardiovascular risk factors. Four days prior to presentation, she experienced an episode of palpitations. This lasted for one to two minutes and resolved spontaneously. The palpitations re-occurred several more times throughout the day. She felt quite weak intermittently for the next three days, but did not experience any additional palpitations.



The original article is available at Part of the RCSIsmj collection:

Published Citation

Young J. A case of elevated troponins. RCSIsmj. 2010;3(1):36-38

Publication Date



  • Undergraduate Research


RCSI University of Medicine and Health Sciences


  • Published Version (Version of Record)